Individual
SHANNON MOUNTFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
465 WAVERLEY OAKS RD STE 101, WALTHAM, MA 02452-8497
(781) 894-6564
Mailing address
465 WAVERLEY OAKS RD STE 101, WALTHAM, MA 02452-8497
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
18568
MA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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